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Carl Thornblade

  • Male

Medical Specialty

Professional ID

  • NPI: 1073605200
  • PECOS ID: 7810067022
  • Enrollment ID: I20080530000343
  • Credential(MD, DO, DPM):
  • Medical School: University Of Pittsburgh School Of Medicine
  • Medical School Graduation Year: 1997

Hospital Service

  • Hospital CCN1: 270023
  • Business Name (LBN)1: Community Medical Center
  • Hospital CCN2: 270014
  • Business Name (LBN)2: St Patrick Hospital

Medical Practices

  • Organization Name: Carl Thornblade, Md, Pllc
  • Group Practice ID assigned by PECOS: 3375613342
  • Number of Group Practice member: 2

Location

  • Address1: 2801 Great Northern Loop
  • Address2: Suite 101
  • City: Missoula
  • State: Montana
  • Zip Code: 59808
  • Phone Number: (406)728-6472

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):